SAY ni DOK | Postpartum depression - video Dailymotion

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00:00Mga ka-RSPs, sa darating na linggo, ipagdiriwang natin ang Mother's Day, isang araw ng pasasalamat at magpaparangal sa lahat ng mga magigiting na ina.

00:12Ngunit sa kabila ng saya, may mga nanay na nahaharap sa isang seryosong hamon pagkatapos manganap.

00:18Ito po yung tinatawag na postpartum depression.

00:22Isang kondisyong madalas ay hindi agad napapansin, ngunit may malalim na epekto sa kanilang kalusugan.

00:29At ito nga, Prof. P, upang pag-usapan ito ng mas mabuti, makakapanayin po natin ang psychiatrist, si Doc Lovie Hope Gochuk.

00:37Magandang umaga po, Doc, at welcome sa Rise and Shine, Pilipinas.

00:41Hi, good morning, Sir Patrick. Professor Fifi, morning.

00:43Good morning, Doktora. Grabe na yung glow ni Doc. Para pag siya kausap mo, magaling na agad ako.

00:50Pero, Doc, we want to know, ano po ba itong postpartum depression?

00:53And, syempre, may mga tinatawagin tayong baby blues sa pagkapanganak.

00:59Tell us more, what's the difference between the two also?

01:01Oo. Well, you have to understand, no?

01:05There are a lot of changes sa katawan ng babae kapag nanganak.

01:09Definitely, yung mga hormonal changes, nagpa-fluctuate lahat ng mga hormones na yan.

01:14Okay. So, that may cause, like, parang mga postpartum blues.

01:19Postpartum blues may be a normal occurrence sa mga pregnant.

01:23I remember when I was pregnant, and I just gave birth, bigla na lang parang, wala, you know,

01:28bigla ka parang medyo maiiyak na na lang, awang-awak ka sa lahat ng tao, you know.

01:32That was normal, and that lasted for like maybe a few minutes.

01:35But usually, postpartum blues will affect like mga 50 to 80 percent of women who gave birth.

01:41But then, after that, mawawala siya ka.

01:42Regardless, kung first or second child, or pang ilan child, pwede maranasan?

01:46Pwede, pwede. Kasi nga, nagpa-fluctuate yung mga hormones, and that will affect the mood.

01:51So, that could be a normal occurrence, you know, you just like sleep properly, you know, you get the help that you need.

01:57Pero, mawawala na lang siya on its own. So, you don't need treatment for that.

02:01But you need a lot of support, no?

02:03Pero you can also have what we call yung parang postpartum depression.

02:07That one is a little bit less common, mga 10 to 15 percent of women who gave birth.

02:13Yun kasi, medyo mas grabe na the functioning is being affected already.

02:18So, ibig sabihin yan, eh, yung mga kailangang gawin, minsan parang ayaw nang gawin,

02:22hindi na minsan maalagaan ang bata, you know, sobrang feeling nila parang, you know,

02:26parang down na down ang energy.

02:29So, kapag ganoon, that's postpartum depression, talagang kailangang gamutin na yan.

02:33So, that's the difference.

02:35Okay.

02:36Okay.

02:36Okay, ma'am, Doc, nabanggit niyo yung mga, yung isa sa mga cause, yung hormones nga po.

02:40Pero ano yung mga maaring risk factors nga po dito po sa postpartum depression?

02:45Depression.

02:46Ah, okay.

02:46That's a very good, ano.

02:48So, the hormonal changes, definitely, that's a biological part of it.

02:51Okay.

02:52Pero yung mga risk factors mo, the highest risk factor will be previous history.

02:56Kunwari, kapag may previous history na, let's say, of depression, of anxiety,

03:03or may pagsabihin mo, ito sa difficult pregnancy, or wala kang masyadong support,

03:08or maybe ito sa unplanned pregnancy.

03:10So, all of those pwedeng mag-contribute to having like postpartum depression na symptoms.

03:15Okay, what could be the symptoms here kapag nakaranas ng postpartum depression?

03:20Kasi, usually, the stigma here is that, ako, parang di naman yata totoong may problema yung nanay ko,

03:27kaya itong kapatid ko, pagkat ng anak.

03:30Tumaga, parang, I think we have to break the stigma.

03:32So, we wanna know what are the symptoms?

03:34Yeah, you know, and I'm glad that you brought that up.

03:36Kasi nga, parang may stigma talaga, psychiatric illnesses, unless ikaw yung makaramdam talaga.

03:41Isipin mo, nag-inerte lang to.

03:43You know, tatagan mo lang, mag-break ka lang.

03:45You know, it's not like that.

03:46You know, it's really an illness.

03:48And the symptoms will be, parang siyang major depressive disorder with postpartum onset.

03:54So, usual symptoms niyan will be depressed mood, definitely.

03:58Loss of interest in things.

04:00Poor appetite.

04:02It's either you eat too much or you don't have appetite.

04:04Ayaw mong kumain.

04:05Pwede rin, either hindi ka makatulog or tulog ng tulog.

04:09Walang masyadong energy, parang pagod na pagod.

04:12Feelings of hopelessness, helplessness, wala ng pag-asa.

04:15Or parang inappropriate guilt, lahat na lang, kasalanan ko, dapat ganun, dapat ganun, you know.

04:21And, um, syempre, ang worst of it is pag nagkakaroon na ng mga thoughts of dying or mga suicidal thoughts.

04:28That's the worst case scenario na talaga.

04:29Yun yung mahirap eh.

04:30Kasi, ano, you know, we have these kinds of symptoms pero ini-invalidate natin sila.

04:35So, lalo pang mas bibigat, imagine those symptoms, tapos yung nanay, inipilit pa yung sarili niya, ibangon para alagaan yung anak.

04:42Exacto, exacto.

04:44Ito, ito, kunwari, kapag hindi pa nakakaintindi, wala kang pang tulong na nakukuha from the people around you.

04:50Yun nga, nabanggit ninyo, Doc, at ni Prof. K, dapat nga mabreak po yung stigma patungkol dito.

04:55So, paano naman po natin matutulungan yung isang ina nga po na nakakaranas po, itong postpartum depression,

05:01at ano po yung mga hakbang na maaring gawin upang maiwasan ito?

05:05Oo. Well, first, the most important thing really will be recognition.

05:10Okay.

05:11You know, dapat naiintindihan, there's really such a thing as postpartum depression,

05:16at kapag na-recognize na yun, then kailangan na nini-encourage to get help.

05:21Okay? So, that's the most important thing.

05:23But other things that you can do, maliliit na bagay eh.

05:26You know, bigyan ninyo ng time para matulog.

05:29I-deck ninyo yung mga asawa.

05:30Yes.

05:31Dungungan ninyo yung mothers, na ano, this is not about the mother.

05:34Usually, parang dapat yung dalawa'y nagtutulungan yan.

05:37You know?

05:37So, dapat yung husband tumutulong, tapos parang makatulog naman si mommy,

05:41kunwari, parang siya naman mag-take care.

05:43Tapos, what else pa ba?

05:45Tapos yung mga ano, pwedeng tulungan ng mga kamag-anak.

05:48You know, maganda sa Philippines kasi, maganda yung support system.

05:52So, nandiyan yung mga byanan, yung mga nanay, kapatid, pinsan.

05:56You know?

05:56So, and then don't be afraid to ask for help.

05:59Kapag kailangan yung tulong, nahihirapan kayo,

06:01then humili kayo ng tulong.

06:03You know?

06:04So, that's really very important.

06:05Dok, ano po mga paraan o treatment options?

06:09Kailang dapat lumapit sa doktor for professional help?

06:12Ah.

06:12Well, treatment options, that would depend on how bad the depressive symptoms are.

06:19Okay.

06:19You know, kunwari, kapag hindi naman grabe ka, nung kagrabe, you can do like parang mga psychotherapy.

06:26Okay.

06:26Or, you know, actually, you know, you have like a good diet, mag-exercise ka regularly sometimes.

06:31You know, may evidence-based na parang from a mild to moderate exercise might work.

06:35Like mga meditation, all of those things might help.

06:38No?

06:39Ah.

06:40Ah.

06:40But, kunwari, kapag talagang, ano na, medyo mas grabe na mga symptoms, then you might need to take medications.

06:47Ayaw.

06:48Oh, doctor.

06:49Yung mga medications, siyempre, ang concern yan will be, you know, ay paano yan kung nagbe-breastfeed ako, parang ganoon.

06:55Then you will have to work very closely with the pediatrician, you know.

06:59So, kunwari, kapag talaga may symptoms, sometimes you have to put the mother on antidepressants even before mga anak.

07:04Then you work closely with the OB and the pediatrician.

07:07Doktora, siyempre, alam ko, possible na naranasan mo ito nung ikaw ay pinanganakang yung mga anak, of course.

07:16Pero, more than that, ay pinagdiriwang natin niya na Mother's Day, ang iyong galing.

07:21Hindi ka lang nanay sa mga anak mo, nanay ka sa mga pasyente mo.

07:24Thank you so much sa pag-save sa maraming mga pasyente, mabuhay na mga tao.

07:29Happy Mother's Day mo, ma'am.

07:30Nice, thank you.

07:31So, happy.

07:32Ito, kalok ko sila ng my birthday.

07:34Happy Mother's Day mo nakalagay, John.

07:37Ayaw, sabi, happy Mother's Day.

07:38He deserves some sweets for Mother's Day.

07:41Ay, mapakita ko rao.

07:43Ayaw.

07:44Kay Doc Loveya yan.

07:45Ayaw.

07:46Happy Mother's Day po, Doc.

07:48Yan, ganun.

07:49At maraming salamat nga po, Doc.

07:51Salamat.

07:51Lovey, hope, go true sa inyong oras at sa napakhalagang impormasyon nga po na inyong ibinahagi sa amin ngayong araw.

07:59Thank you so much, Doc.

08:00Lovey.

08:01Happy Mother's Day.

SAY ni DOK | Postpartum depression

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